Organization Active NPI

Ivanna Homecare

  • In Home Supportive Care Agency
  • Dallas, GA
National Provider Identifier
1487593919
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IVANNA HOMECARE
Practice address
66 Longwood CT
Dallas, GA 30132-1146
Phone
(470) 794-7254
Fax
(470) 794-7254
NPI assigned
Mar 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mercy Ekeuwa
Title
Registered Nurse
Phone
(470) 794-7254

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Health Maintenance Organization 302R00000X

Addresses

Primary practice location

66 Longwood CT
Dallas, GA 30132-1146

Mailing address

PO Box 66
Dallas, GA 30132-0002
Phone (404) 287-7713

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1487593919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320002",
            "telephone_number": "404-287-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 LONGWOOD CT",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301321146",
            "telephone_number": "470-794-7254",
            "fax_number": "470-794-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVANNA HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "EKEUWA",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "470-794-7254"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.